患有神经性膀的儿科患者患者患者体位对囊膜学参数的影响:一项前性研究
Arzu Canmemiş1, Sinem Aydöner2, Şeyhmus Kerem Özel1
1Department of Pediatric Urology, Faculty of Medicine, Istanbul Medeniyet University, Goztepe Prof. Dr. Suleyman Yalcin City Hospital, Istanbul, Türkiye.
Neurourology and urodynamics
|January 3, 2024
概括
患者的位置会影响神经性膀儿童的泌尿动力学研究结果. 在仰卧姿势下,观察到较高的体压力,影响了治疗决策.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 神经性膀管理的神经性膀管理
- 尿动力学评估 尿动力学评估
背景情况:
- 尿动力学研究 (UDSs) 对于评估小儿神经性膀下尿路功能至关重要.
- 患者定位对该群体UDS参数的影响尚未得到充分证实.
研究的目的:
- 为了研究患者位置对神经性膀儿童泌尿动力学参数的影响.
- 为了确定躺着与坐着的位置是否产生不同的结果.
主要方法:
- 对50名患有神经性膀的儿科患者进行前性研究.
- 尿动力学记录在一个会议期间,在卧卧和坐着的位置进行.
- 评估的关键参数包括detrusor过度活动,最大的detrusor压力,膀容量,合规性和泄漏点压力.
主要成果:
- 患者的位置并没有显著影响囊泡计量膀容量,detrusor过度活动,服从性,或在失禁时的体积.
- 然而,在卧卧的位置上,与坐着的位置相比,detrusor最大压力和detrusor泄漏点压力显著更高.
结论:
- 在解释儿科神经性膀的泌尿动力学结果时,患者的位置是需要考虑的关键因素.
- 较高的卧底压力可能会影响有关上泌尿道完整性和治疗计划的临床决策.
- 进一步的研究是有必要的,以探索潜在的机制和概括发现.
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